090045_Routine inspection_20240920

of Visit:
for Visit:
O Follow-up 0 Referral O Emergency O Other O Denied Access
Date of Visit: Arrival Time: Departure Time: ' S ounty:
Farm Name: Z � ,i 4 Owner Email:
Owner Name: 1JfC�ze, (�/ ((,�! Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative: le,
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Latitude:
Integrator:
Region: e
Phone:
Certification Number: 1U0 YJ�e �.
Certification Number:
Longitude:
� Y.. tr'
to Finish
j
Layer
Da' Cow
to Feeder
Non -La er
Dai Calf
r to Finish
(�
Ilsyl
Dai Heifer
to Wean
(
D Cow
EFarrowtoFeeder
to Feeder
�
��df
{§I4
4 f��t r
Non -Dairy
to FinishLa
ers
Beef Stocker
Non -La ers
Beef Feeder
Pullets
Beef Brood Cow
Turke s
Turke PointsOtherW!i)IIII�Iif��31
tS
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes2-�o
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes [—]No
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes ❑ No
❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
❑ Yes ❑ No
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes [_To
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes J2-No
❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 511212020 Continued

Facility Number: Date of Ins ection:
pz
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes e2_50
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes ❑ No
❑ NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5 Structure
6
Identifier:
Spillway?:
Designed Freeboard (in): 7 19
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes`[;Vo
❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes JE!NNo
❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health
or environmental threat, notify DWR
7. Do any of the structures need maintenance or improvement?
❑ Yes j2llo
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes ,,E]'No
❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑ Yes ETNo
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes o
❑ NA
❑ NE
maintenance or improvement?
T
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes &No
❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphor -us ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window
Winndow ❑ Evidence of Wind Drift ❑ Application
Outside of Approved Area
rzreL�CIN 12. Crop Type(s): 4%l/ruCG,r/l2 /.c5 /�f/ QS , /
t [YCL�/L4�
13. Soil Type(s): C_ I/ ,
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes.Q-No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes ,D'No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
❑ NA
❑ NE
acres determination?
e[D—No
17. Does the facility lack adequate acreage for land application?
❑ Yes ZNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes L2-�o
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes E:14o
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
[—]Yes .e o
❑ NA
❑ NE
the appropriate box.
❑WUP El Checklists ❑Design ❑ Maps ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes F_-Ko
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes 2No
❑ Yes ❑-I o
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 3 511212020 Continued

Facili Number: Date of Ins ection: 1
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑'Flo ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey [—]Failure to develop a POA for sludge levels P 11
❑ Non -compliant sludge levels in any lagoon �� s
List structure(s) and date of first survey indicating non-compliance: j� 63
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes.,E:rNo
❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes_'[]iNo
❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes,21'No
❑ NA ❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes ..❑"TTo
❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes..n'No
❑ NA ❑ NE
❑ Application Field ❑ Lagoon/storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWW?
❑ Yes _E�Flo
❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes E]-No
❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes ❑,No
❑ NA ❑ NE
Reviewer/Inspector Name: Q62 11#14Gl�5e"-3 Phone: 116F c F20—
Reviewer/Inspector Signature: {� h Date: 7� *42-7
Page 3 of 3 511212020

III
�-yam
raalm/ NO,---�i0-7� Time In
Time Out _
Farm Name , wry �hr �1
Integrar�
site RM
Owner
,JVerator •
No. _
No. —
sack -up
COC Circle: General
or NPOES
Date
Design
Current
I I Design Current
Wean - Feed
Farrow - Feed
Wean- Finish
Farrow - Firiist:
Feed _Finish
Gilts /Boars
Farrow- Wean 1
I Other=
FREEBOARD: Design
Observed
Crop Yield v
Rain Gauge
Soil Test a Wettable Acres
Weekly Freeboard ✓
Daily Rainfall —2Z—
Spray]Freeboard Crap
` Veather Codes
12o min Inspections _
Waste Analysis:
Date
Nitrogen (N)
r[o Pd
Sludge Survey
Calibration/GPIVI
Waste Transfers
Rain Breaker
PLAT 2 6
1-in Inspections
Date Nitrogen (N)
I.l� - -
s/?/}; La-5
3 / -) 3 -sue'